With certain exceptions for academic or personal use, U.S. copyright law prohibits the use of copyrighted material without the owner’s specific consent.
The enclosed document lets an owner permit the reprinting of its published work. You can provide detailed information about how the material may be used and the extent of its incorporation into the secondary publication. The copyright holder can be assured of its continuing ownership rights, and the requestor will gain rights to material it needs to move forward with publication.
PERMISSION TO REPRINT PUBLISHED MATERIAL Date: __________________________ _____________________ (the “Owner”) has received the request of ____________________ (the “Requestor”), in a letter dated _____________________, _____, to reproduce the Material (as defined below). The Owner hereby grants the request on the following terms and conditions, which terms and conditions the Requestor hereby accepts: (1) The published work (the “Original Work”) that is the subject of this agreement (the “Agreement”) is the following: Author: Title: Name of Publication: Date of Original Publication: The Owner is the sole copyright holder of the Original Work. (2) Permission is hereby granted to use the following selection from the Original Work: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ (the “Material”). The Material represents approximately _________ % of the Original Work. [A copy of the Material is attached to this Agreement.] (3) The Material may be used only as follows, without deletions from, additions to, or changes in the text thereof: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _______________________________________________________________. (4) The Material [will not be used in a seminar or other educational activity] [will be used in a seminar or other educational activity as follows: __________________________________________________________________ __________________________________________________________________ _______________________________________________________________.] (5) In consideration for the grant of the Owner’s permission to use the Material, the Requestor agrees to pay a one time fee of $__________________ (the “Fee”). The permissions granted under this Agreement shall be ineffective until the Fee is paid in
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